MedicaidBilling CodesMedium impact
Update to “Texas Health Steps Therapeutic Dental Services” in 2026 HCPCS Special Bulletin
Texas Medicaid·TX · Dentistry·Coding
We identified it
Mar 7, 2026
Summary
Texas Medicaid has added a new coding restriction for dental services: procedure code D9239 will be denied when billed on the same day as the new procedure code D9224. This creates a same-day billing limitation that will result in automatic claim denials.
Action Required
Immediately: Billing team must update system rules to prevent billing D9239 and D9224 on the same date of service for Texas Medicaid patients. Update encounter forms and EMR templates to alert providers of this restriction. Contact TMHP at 800-925-9126 for clarification if needed. Claims will be denied if both codes are billed on the same day.